Insurance Fraud Analyst (Remote)

TEKsystems
$30.00 - $35.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Los Angeles
Nov 22, 2024
Job Description: We are seeking a detail-oriented and analytical Fraud Analyst to join our growing team. The ideal candidate will be responsible for identifying, investigating, and preventing fraudulent activities related to insurance claims and policies. This role requires strong investigative skills, critical thinking, and the ability to analyze complex data. Key Responsibilities: * Case Review and Management: Identify real-time threats through alerts or reports. * Using data analytics tools, identify patterns, trends and inconsistencies that could indicate fraudulent activity. * Manage and lead incident process and handling of suspicious activity case reviews, which may include reviewing and investigating internal and external records, contacting customers, financial professionals, etc., to verify flagged transactions, and determining the action/resolution required. Thoroughly document case chronology and findings, which may be incorporated into reports detailing trends and program enhancements to management. Escalate complex fraud cases to sr. analysts or management. * Prepare detailed reports on findings and recommend actions based on investigation results. * Stay current with industry trends, fraud detection technologies, and regulatory changes. * Ensure that all investigations and actions comply with company policies, procedures, and relevant regulations. Qualifications: * Minimum of 2+ years of experience in fraud analysis, within the insurance industry. * Strong analytical and problem-solving skills. * Excellent communication and interpersonal skills. * Bachelor's degree in a related field preferred. * Knowledge of insurance regulations and industry best practices. Details: * Pay: $30 - $35/hr. based on related experience. * Pay cycle - weekly \| medical, dental & vision benefits offered. * Schedule: Monday - Friday \| 8:00am - 4:30pm (PST) \| 45-minute lunch - 37.5 hours per week * 100% remote \| equipment provided. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.